Request Request an Appointment Forms Download Patient Forms Like UsLike Us on Facebook Reviews Review us on Google
Request an Appointment

New Patient Information

Welcome to the Vienna, VA dentistry practice of Gary Ellenbogen, DDS. We’re so happy you’ve chosen to share your smile with our dedicated dentist and knowledgeable team. Before your visit, we invite you to take a few moments to prepare by downloading and completing our online forms and reviewing our dental insurance and financing policies. As usual, if you have questions at any time, don’t hesitate to contact us. We’re here to help, and we look forward to seeing you soon.

New Patient Forms

One way we help patients make their dental care quick and comfortable from start to finish is by providing new patient forms online. No one looks forward to juggling clip boards and paperwork in our waiting area, so simply download the forms, complete them at your convenience, and bring them along to your appointment. Call us with any questions. We’re happy to help you.

New Patient Forms HIPAA Form

Insurance & Financing

Many patients assume that lack of time or fear of the dentist is the number one reason patients give for skipping dental appointments. However, some recent polls revealed that financing is actually most often cited as the reason for missed dental visits. We never want the cost of care to keep patients from the dental treatments they need. That’s why we’re happy to work with all PPO insurance providers, and offer maximum coverage as in-network providers with Premier, INS. Our knowledgeable team processes and files claims for any benefit plan, answers questions, and we are always happy to help patients make the most of their insurance investment. We accept payment for out of pocket costs at the time of service in the form of cash, credit, or local check. We are often able to assist patients in obtaining financing as well. Ask us during your visit if you’d like to find out more about financing care.